GLASTONBURY ENDOSCOPY CENTER LLC NPI 1659525020

NPI Information

NPI: 1659525020
Provider Name: GLASTONBURY ENDOSCOPY CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Specialization: Ambulatory Surgical
Entity Type: Organization
CLIA Number: 07D1093292
Address: 300 WESTERN BLVD
BLDG., D, SUITE 100
GLASTONBURY, CT
ZIP 06033
Phone: (714) 843-5997

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NPI Details

GLASTONBURY ENDOSCOPY CENTER, LLC is an ambulatory surgical clinic center in Glastonbury, CT. GLASTONBURY ENDOSCOPY CENTER, LLC NPI is 1659525020. The provider is registered as an organization entity type.

The provider's business location address is:

300 WESTERN BLVD
BLDG., D, SUITE 100
GLASTONBURY, CT
ZIP 06033-236
Phone: (714) 843-5997
Fax: (714) 843-5907

The provider's authorized official is Jeffrey Nestler .
The authorized official title is Medical Director and has the following contact phone number (860) 657-1950.

The CLIA number assigned to this NPI record is 07D1093292 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
Injection beneath lining of large bowel using a flexible endoscope (HCPCS:45381)
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)

The enumeration date for this NPI number is 11/11/2008 and was last updated on 5/9/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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